This symptom typically arises through indirect mechanisms including hypoglycemia when combined with other diabetes medications, dehydration from gastrointestinal side effects, or orthostatic hypotension related to rapid weight loss
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[DOI] [PMC free article] [PubMed] [Google Scholar] 26.Kellerer M., Kaltoft M.S., Lawson J., Nielsen L.L., Strojek K., Tabak ., Jacob S
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